<!--{*
/*
 * edit by Cam
 */
*}-->

<!--{include file="`$smarty.const.TEMPLATE_REALDIR`popup_header.tpl" subtitle="Add or change new delivery destination"}-->

<div id="window_area">
    <h2 class="title"><!--{t string="c_Add or change delivery destination_01"}--></h2>
    <p><!--{t string="tpl_Please fill out the items below. '<span class='attention'>*</span>' indicates that the item is required.<br />When finished, please click the 'Register' button at the bottom of the page." escape="none"}--></p>

    <form name="form1" id="form1" method="post" action="?">
        <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->" />
        <input type="hidden" name="mode" value="edit" />
        <input type="hidden" name="other_deliv_id" value="<!--{$smarty.session.other_deliv_id|h}-->" />
        <input type="hidden" name="ParentPage" value="<!--{$ParentPage}-->" />

        <table summary="Delivery destination registration">
            <!--{include file="`$smarty.const.TEMPLATE_REALDIR`frontparts/form_personal_input.tpl" flgFields=1 emailMobile=false prefix=""}-->
        </table>
        <div class="btn_area">
            <ul>
                <li>
					<button class="bt02"><!--{t string="tpl_Register_01"}--></button>
				</li>
            </ul>
        </div>
    </form>
</div>

<!--{include file="`$smarty.const.TEMPLATE_REALDIR`popup_footer.tpl"}-->
